| NPI | 1649337353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MARIA DAVIS Owner 803-329-7778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 8404) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2008-02-05 |